Abstract

Percutaneous endoscopic gastrostomy (PEG) is a safe and simple technique for the provision of enteral nutrition with extremely low complication rates [1]. It was first described by Gauderer and Ponsky in 1979 and then came popular in time [2]. Although most complications are minor, such as peristomal skin infections, tube dislocation, or leakage, occasionally severe complications can be seen such as internal organ damage, necrotising fasciitis, or aspiration pneumonia [3,4]. The extremely rare complication of gastrocolocutaneous fistula developing because of perforation of the colon by the PEG catheter during placement or erosion of adjacent intestines when inside, can be seen at the rate of 0.5%- 3% [5,6]. The case is here presented of a patient who developed gastrocolocutaneous fistula fallowing PEG placement.